Autonomy as a principle of bioethics: perpectives of medical students

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.31366

Keywords:

Autonomy; Consent; Bioethics; Decision; Teaching.

Abstract

Every individual has the right to accept or refuse preventive, diagnostic or therapeutic proposals that have the potential to affect their physical-psychic or social capacity. Objective: The present work aims to analyze the perspectives of medical students from a public university on the exercise of patients' autonomy during health care. Methodology: The study is qualitative, descriptive and transversal, using the Collective Subject Discourse. 58 medical students participated in the research, most of them belonging to the 3rd period. Results: Regarding the knowledge of autonomy as a principle of bioethics, most claimed to have knowledge, as well as which document ensures the patient's autonomy, stating that it is the Free and Informed Consent Term, almost all knew its mandatory in interventional procedures. In cases of diagnosis of serious diseases, most prefer that it is informed to the patient. Regarding academic training in bioethics, everyone understood it as essential. Conclusion: Bioethics, as a discipline that encourages humanization and a good doctor-patient relationship, promotes professional training and provides future doctors with legal support to practice their profession, was unanimously considered essential in medical graduation. Autonomy, as a principle of bioethics, portrays, from the student's perspective, the ability to make decisions, freedom, consolidating a right of the doctor and the patient.

References

Almeida, J. L. T. de et al. (1999). Respeito à autonomia do paciente e consentimento livre e esclarecido: uma abordagem principalista da relação médico-paciente. Tese (Doutorado em Saúde Pública) – Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro.

Berger, Z. D., Boss, E. F., & Beach, M. C. (2017). Communication behaviors and patient autonomy in hospital care: A qualitative study. Patient education and counseling, 100 (8), 1473-81. doi: 10.1016/j.pec.2017.03.006

Biondo, C. S. et al. (2018). Perspectivas do conhecimento da bioética pelos acadêmicos de saúde para atuação profissional. Enfermería Actual de Costa Rica, San José, 35, 63-74. http://dx.doi.org/10.15517/revenf.v0i35.30014

Campos, A., & Oliveira, D. (2017). A relação entre o princípio da autonomia e o princípio da beneficência (e não maleficência) na bioética médica. Revista Brasileira de Estudos Políticos, 115, 13-45. doi: 10.9732/P.0034-7191.2017V115P13

Cardoso, P. K. B., Gomes, A. V., & Rocha, F. C. V. (2018). Ética e bioética em pesquisa: conhecimento de acadêmicos do curso de enfermagem. Revista Uningá, 55 (4), 209-219. Retirado de https://revista.uninga.br/uninga/article/view/2068

Castro, C., Quintana, A., Olesiak, L., & Munchen, M. (2020). Termo de consentimento livre e esclarecido na assistência à saúde. Revista Bioética, 28 (3). https://doi.org/10.1590/1983-80422020283416

Clotet, J. (2009). Por que bioética?. Revista bioética, 1 (1). Retirado de https://revistabioetica.cfm.org.br/index.php/revista_bioetica/article/view/474/291

Fawzi, M. M. (2011). Medical ethics educational improvement, is it needed or not?! Survey for the assessment of the needed form, methods and topics of medical ethics teaching course amongst the final years medical students Faculty of Medicine Ain Shams University (ASU), Cairo, Egypt 2010. Journal of Forensic and Legal Medicine, 18 (5), 204-207. doi: 10.1016/j.jflm.2011.02.012

Fontes, A. F., Barbosa, R. R., & Brito, D. (2020). Onde mora a autonomia do paciente em tempos de crise em Portugal?. Ciência & Saúde Coletiva, 25, 4197-4200. https://doi.org/10.1590/1413-812320202510.2.26782020

Gulinelli, A., Aisawa, R., & Konno, S. et al. (2004). Desejo de informação e participação nas decisões terapêuticas em caso de doenças graves em pacientes atendidos em um hospital universitário. Rev. Assoc. Med. Bras, 50 (1). https://doi.org/10.1590/s0104-42302004000100033

Lefévre, F., Lefévre, A. M. C., & Teixeira, J. J. V. (2000). O discurso do sujeito coletivo: uma abordagem metodológica em pesquisa qualitativa. Caxias do Sul: EDUCS.

Lindberg, C. et al. (2014). Concept analysis: patient autonomy in a caring context. Journal of Advanced Nursing, 70 (10), 2208-21. https://doi.org/10.1111/jan.12412

Merchán-Hamann E., & Tauil P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiol. Serv. Saúde. https://doi.org/10.1590/s1679-49742021000100026

Palanisamy, D., & Xiong, W. (2020). An interactive approach to teaching the clinical applications of autonomy and justice in the context of discharge decision-making. MedEdPORTAL, 16. https://doi.org/10.15766/mep_2374-8265.10992

Pazinatto, M. M. (2019). A relação médico-paciente na perspectiva da Recomendação CFM 1/2016. Revista Bioética, 27 (2), 234-243. https://doi.org/10.1590/1983-80422019272305

Petry, A. U. S., & Biasoli, L. F. (2021). Desafios bioéticos na formação médica: uma perspectiva teleológica e axiológica. Revista Brasileira de Educação Médica, 45 (1). https://doi.org/10.1590/1981-5271v45.1-20200311

Ribeiro, J. R., & Scharaiber, L. (1994). A autonomia e o trabalho em medicina. Cad. Saúde Pública. Rio de Janeiro, 10 (2), 190-199. https://doi.org/10.1590/S0102-311X1994000200006

Souza, T. P. de, Rech, R. S., & Gomes, E. (2022). Metodologias aplicadas no ensino de Ética, Bioética e Deontologia da Saúde durante a última década: uma revisão integrativa.doi: 10.1590/interface.210621

Torres, A. de F. (1999). Bioética: O princípio da autonomia e o termo de consentimento livre e esclarecido. Conselho Federal de Medicina. Retirado de https://portal.cfm.org.br/artigos/bioetica-o-principio-da-autonomia-e-o-termo-de-consentimento-livre-e-esclarecido/.

Ugarte, O., & Acioly, M. (2014). O princípio da autonomia no Brasil: discutir é preciso. Rev. Col. Bras. Cir., 41(5), 274-277. https://doi.org/10.1590/0100-69912014005013

Zhang, H. et al. (2021). Patient privacy and autonomy: a comparative analysis of cases of ethical dilemmas in China and the United States. BMC Medical Ethics, 22 (1), 1-8. https://doi.org/10.1186/s12910-021-00579-6

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Published

03/07/2022

How to Cite

SILVA , A. K. S. .; SOUZA JÚNIOR, E. Ávila .; SILVA, A. N. F. da .; LONGATI, A. J.; SCHIASSI, A. L. R.; ANDREOLLI, A. L. S.; ALVES, W. Y. Autonomy as a principle of bioethics: perpectives of medical students. Research, Society and Development, [S. l.], v. 11, n. 9, p. e8411931366, 2022. DOI: 10.33448/rsd-v11i9.31366. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/31366. Acesso em: 22 dec. 2024.

Issue

Vol. 11 No. 9

Section

Health Sciences

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Copyright (c) 2022 Any Karoline Serafim Silva ; Eli Ávila Souza Júnior; Alicia Natali Ferreira da Silva; Ana Julia Longati; Ana Luiza Romão Schiassi; Ana Luiza Silveira Andreolli; Wille Ygor Alves

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